2023 Annual Meeting Knee Access Pass-Risk of Reoperation After ACL Reconstruction: Comparison of Quad, BPTB, and Hamstring Autografts in a U.S. Cohort of 19,960

Risk of Reoperation After ACL Reconstruction: Comparison of Quad, BPTB, and Hamstring Autografts in a U.S. Cohort of 19,960

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Video Summary

Gregory Miletus presented a large retrospective study comparing revision and reoperation risks after ACL reconstruction using quadriceps (quad), patellar tendon (BTB), and hamstring autografts from 22,000 patients. No significant difference in revision or reoperation rates was found between quad and patellar or hamstring grafts. However, the hamstring graft showed a 1.5 times higher revision risk compared to patellar tendons, especially in patients under 22. Numbers needed to treat indicate that using patellar or quad tendons instead of hamstrings could prevent one revision per 30-36 surgeries. Limitations include lack of standardized techniques and outcomes beyond revision rates.

Asset Caption

Gregory Maletis, M.D.

Keywords

ACL reconstruction

quadriceps autograft

patellar tendon autograft

hamstring autograft

revision risk